Recent advances in laparoscopic splenectomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LIU Xiuquan ,  ZHANG Xinyu

Department of General Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, P. R. China;

Corresponding?author：

ZHANG Xinyu, Email: xinyuzhang3052000@163.com.cn

Keywords：

laparoscopic splenectomy; recent advance

DOI：

10.7507/1007-9424.201706117

Video：

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Objective To investigate safety, feasibility, and future direction of laparoscopic splenectomy. Method The latest progress and new achievements of laparoscopic splenectomy in the world were analyzed and summarized. Results At present, the laparoscopic splenectomy mainly included the completely laparoscopic splenectomy, hand assisted laparoscopic splenectomy, gasless laparoscopic splenectomy, single hole laparoscopic splenectomy, or robot assisted laparoscopic splenectomy. The completely laparoscopic total splenectomy had become the most common surgical procedure in the clinical treatment due to the reliable curative effect, less injury, and rapid recovery, the partial splenectomy was one of the precise treatments for the benign splenic lesions. The hand assisted laparoscopic splenectomy was widely used in the giant spleen, it could reduce the exposure difficulty, effectively deal with the intraoperative hemorrhage, and reduce the risk of surgery. The robot assisted laparoscopic splenectomy was one of the minimally invasive operations, the system with three-dimensional high definition vision and flexible robotic arm overcame the limitations of traditional laparoscopic two-dimensional display, could precisely complete the operation and achieve the accurate treatment. Conclusions Laparoscopic splenectomy has some advantages of less operative injury, less pain, and rapid recovery, it’s safety and feasibility have been proved. We should strictly grasp indications and contraindications for laparoscopic splenectomy, appropriate surgical methods should be selected for specific splenic diseases to achieve the best curative effect. Remote control and precision operation will be a direction of development in future.

Citation： LIU Xiuquan, ZHANG Xinyu. Recent advances in laparoscopic splenectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2018, 25(1): 113-117. doi: 10.7507/1007-9424.201706117 Copy

1.	Delaitre B, Maignien B, Icard P. Laparoscopic splenectomy. Br J Surg, 1992, 79(12): 1334.
2.	許紅兵, 蕭蔭祺, 李為民, 等. 電視腹腔鏡脾切除 1 例報告. 內鏡外科雜志, 1994, 1(增刊): 293.
3.	Habermalz B, Sauerland S, Decker G, et al. Laparoscopic splenectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES). Surg Endosc, 2008, 22(4): 821-848.
4.	Pfluke JM, Parker M, Stauffer JA, et al. Laparoscopic surgery performed through a single incision: a systematic review of the current literature. J Am Coll Surg, 2011, 212(1): 113-118.
5.	Gamme G, Birch DW, Karmali S. Minimally invasive splenectomy: an update and review. Can J Surg, 2013, 56(4): 280-285.
6.	Boone BA, Wagner P, Ganchuk E, et al. Single-incision laparoscopic splenectomy: preliminary experience in consecutive patients and comparison to standard laparoscopic splenectomy. Surg Endosc, 2013, 27(2): 587-592.
7.	Fan Y, Wu SD, Kong J, et al. Feasibility and safety of single-incision laparoscopic splenectomy: a systematic review. J Surg Res, 2014, 186(1): 354-362.
8.	沈雄山, 晏華軍, 劉寧, 等. 腹腔鏡脾切除術 63 例臨床分析. 中國普外基礎與臨床雜志, 2014, 21(3): 349-351.
9.	Yu H, Guo S, Wang L, et al. Laparoscopic splenectomy and esophagogastric devascularization for liver cirrhosis and portal hypertension is a safe, effective, and minimally invasive operation. J Laparoendosc Adv Surg Tech A, 2016, 26(7): 524-530.
10.	楊帥帥, 李海玲, 武德旺, 等. 完全 3D 腹腔鏡與開腹手術治療門脈高壓癥的對比研究. 腹腔鏡外科雜志, 2017, 22(2): 119-122.
11.	胡朝輝, 彭永海, 陳思瑞. 腹腔鏡部分脾切除術應用及體會(附 11 例分析). 中國普外基礎與臨床雜志, 2016, 23(4): 458-461.
12.	湯曉東, 劉雙海, 陳達偉, 等. 腹腔鏡脾臟部分切除術 13 例. 中華肝膽外科雜志, 2016, 22(9): 623-625.
13.	潘飛, 郎韌, 俞亮, 等. 腹腔鏡脾部分切除術(附八例報告). 腹部外科, 2015, 28(6): 415-418.
14.	ee WF, Wu SC, Yong CC, et al. Hand-assisted laparoscopic splenectomy--preliminary experience in southern Taiwan. Chang Gung Med J, 2010, 33(1): 67-72.
15.	Okano K, Kakinoki K, Suto H, et al. Hand-assisted laparoscopic partial splenectomy using an endopath monopolar sealer. Surg Laparosc Endosc Percutan Tech, 2011, 21(6): e291-e294.
16.	Su CH, Yin TC, Huang CJ, et al. Laparoscopic splenectomy for splenomegaly using a homemade retrieval BAG. Wideochir Inne Tech Maloinwazyjne, 2013, 8(4): 327-333.
17.	Fisichella PM, Wong YM, Pappas SG, et al. Laparoscopic splenectomy: perioperative management, surgical technique, and results. J Gastrointest Surg, 2014, 18(2): 404-410.
18.	Hyodo M, Sata N, Koizumi M, et al. Laparoscopic splenectomy using pneumoperitoneum or gasless abdominal wall lifting: a 15-year single institution experience. Asian J Endosc Surg, 2012, 5(2): 63-68.
19.	蔣培強, 張威, 王英超, 等. 懸吊式單孔腹腔鏡脾切除術 1 例報告. 腹腔鏡外科雜志, 2015, 20(6): 467.
20.	馬爾旦?馬合木提, 米爾夏提?阿不都熱西提, 吐爾洪江?吐遜, 等. 單孔與多孔腹腔鏡脾切除術比較的 Meta 分析. 中華腔鏡外科雜志(電子版), 2013, 6(6): 421-424.阮虎, 江志偉, 趙坤, 等. 達芬奇機器人系統在脾切除術中的應用.腹腔鏡外科雜志, 2013, 18(12): 899-901.
21.	劉新農, 張錦航, 盛蕾, 等. 單孔與傳統腹腔鏡脾切除術臨床效果的系統評價. 腹腔鏡外科雜志, 2013, 18(6): 401-406.
22.	邵學謙. 單孔腹腔鏡脾切除術與傳統腹腔鏡脾切除術的對照研究. 中國內鏡雜志, 2014, 20(8): 805-807.
23.	Giulianotti PC, Buchs NC, Coratti A, et al. Robot-assisted treatment of splenic artery aneurysms. Ann Vasc Surg, 2011, 25(3): 377-383.
24.	Berelavichus SV, Smirnov AV, Ionkin DA, et al. Robot-assisted and laparoscopic partial splenectomy for nonparasitic cysts. Khirurgiia (Mosk), 2015, (7): 41-48.
25.	阮虎, 江志偉, 趙坤, 等. 達芬奇機器人系統在脾切除術中的應用[J]. 腹腔鏡外科雜志, 2013, 18(12), 899-901.
26.	Giulianotti PC, Buchs NC, Addeo P, et al. Robot-assisted partial and total splenectomy. Int J Med Robot, 2011, 7(4): 482-488.
27.	Weledji EP.Benefits and risks of splenectomy. Int J Surg, 2014, 12(2): 113-119.
28.	Rice HE, Crary SE, Langer JC, et al. Comparative effectiveness of different types of splenectomy for children with congenital hemolytic anemias. J Pediatr, 2012, 160(4): 684-689.e13.
29.	Feldman LS. Laparoscopic splenectomy: standardized approach. World J Surg, 2011, 35(7): 1487-1495.
30.	俞澤元, 龍勃, 郭凌云, 等. 經前入路完全腹腔鏡脾切除術的臨床應用. 中國普外基礎與臨床雜志, 2016, 23(11): 1389-1392.
31.	成劍, 洪德飛, 沈國樑, 等. 優化腹腔鏡脾切除和賁門周圍血管離斷術的臨床研究. 中華普通外科雜志, 2014, 29(3): 165-167.
32.	展翰翔, 胡三元. 腹腔鏡脾切除術的要點與難點. 腹腔鏡外科雜志, 2016, 21(8): 567-569.
33.	鄭直, 段鑫, 王勇, 等. 腹腔鏡脾切除術的并發癥及其防治. 腹部外科, 2014, 27(3): 176-178.
34.	余伍勇, 劉作金. 肝硬化門脈高壓癥行 LS 和 OS 術后并發癥的 Meta 分析. 重慶醫學, 2015, 44(5): 670-672, 675.
35.	李謙, 周大艷, 劉彬. 全腹腔鏡脾切除術中出血原因的分析. 腹腔鏡外科雜志, 2015, 20(3): 208-211.
36.	胡仁健, 秦紅軍, 程剛, 等. 腹腔鏡下脾切除術的幾點探討. 肝膽胰外科雜志, 2015, 27(2): 143-145.
37.	向俊西, 劉學民, 劉鵬, 等. 腹腔鏡脾切除術門靜脈系統血栓形成和中轉開腹的危險因素分析. 腹部外科, 2015, 28(6): 389-393.
38.	Montalvo J, Velazquez D, Pantoja JP, et al. Laparoscopic splenectomy for primary immune thrombocytopenia: clinical outcome and prognostic factors. J Laparoendosc Adv Surg Tech A, 2014, 24(7): 466-470.
39.	薛紅娣, 劉雙海, 陳勝, 等. 腹腔鏡和開腹脾切除術的臨床療效比較: 附視頻. 中華普通外科學文獻(電子版), 2016, 10(2): 125-128.
40.	陳亞希, 修典榮, 原春輝, 等. 腹腔鏡部分脾與全脾切除術治療脾良性占位性病變. 中華普通外科雜志, 2017, 32(2): 105-107.
41.	Gamme G, Birch DW, Karmali S. Minimally invasive splenectomy: an update and review. Can J Surg, 2013, 56(4): 280-285.
42.	黃軍偉, 洪明, 閻雄. 腹腔鏡脾切除術的研究進展. 中國微創外科雜志, 2014, 14(2): 176-179.

1. Delaitre B, Maignien B, Icard P. Laparoscopic splenectomy. Br J Surg, 1992, 79(12): 1334.
2. 許紅兵, 蕭蔭祺, 李為民, 等. 電視腹腔鏡脾切除 1 例報告. 內鏡外科雜志, 1994, 1(增刊): 293.
3. Habermalz B, Sauerland S, Decker G, et al. Laparoscopic splenectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES). Surg Endosc, 2008, 22(4): 821-848.
4. Pfluke JM, Parker M, Stauffer JA, et al. Laparoscopic surgery performed through a single incision: a systematic review of the current literature. J Am Coll Surg, 2011, 212(1): 113-118.
5. Gamme G, Birch DW, Karmali S. Minimally invasive splenectomy: an update and review. Can J Surg, 2013, 56(4): 280-285.
6. Boone BA, Wagner P, Ganchuk E, et al. Single-incision laparoscopic splenectomy: preliminary experience in consecutive patients and comparison to standard laparoscopic splenectomy. Surg Endosc, 2013, 27(2): 587-592.
7. Fan Y, Wu SD, Kong J, et al. Feasibility and safety of single-incision laparoscopic splenectomy: a systematic review. J Surg Res, 2014, 186(1): 354-362.
8. 沈雄山, 晏華軍, 劉寧, 等. 腹腔鏡脾切除術 63 例臨床分析. 中國普外基礎與臨床雜志, 2014, 21(3): 349-351.
9. Yu H, Guo S, Wang L, et al. Laparoscopic splenectomy and esophagogastric devascularization for liver cirrhosis and portal hypertension is a safe, effective, and minimally invasive operation. J Laparoendosc Adv Surg Tech A, 2016, 26(7): 524-530.
10. 楊帥帥, 李海玲, 武德旺, 等. 完全 3D 腹腔鏡與開腹手術治療門脈高壓癥的對比研究. 腹腔鏡外科雜志, 2017, 22(2): 119-122.
11. 胡朝輝, 彭永海, 陳思瑞. 腹腔鏡部分脾切除術應用及體會(附 11 例分析). 中國普外基礎與臨床雜志, 2016, 23(4): 458-461.
12. 湯曉東, 劉雙海, 陳達偉, 等. 腹腔鏡脾臟部分切除術 13 例. 中華肝膽外科雜志, 2016, 22(9): 623-625.
13. 潘飛, 郎韌, 俞亮, 等. 腹腔鏡脾部分切除術(附八例報告). 腹部外科, 2015, 28(6): 415-418.
14. ee WF, Wu SC, Yong CC, et al. Hand-assisted laparoscopic splenectomy--preliminary experience in southern Taiwan. Chang Gung Med J, 2010, 33(1): 67-72.
15. Okano K, Kakinoki K, Suto H, et al. Hand-assisted laparoscopic partial splenectomy using an endopath monopolar sealer. Surg Laparosc Endosc Percutan Tech, 2011, 21(6): e291-e294.
16. Su CH, Yin TC, Huang CJ, et al. Laparoscopic splenectomy for splenomegaly using a homemade retrieval BAG. Wideochir Inne Tech Maloinwazyjne, 2013, 8(4): 327-333.
17. Fisichella PM, Wong YM, Pappas SG, et al. Laparoscopic splenectomy: perioperative management, surgical technique, and results. J Gastrointest Surg, 2014, 18(2): 404-410.
18. Hyodo M, Sata N, Koizumi M, et al. Laparoscopic splenectomy using pneumoperitoneum or gasless abdominal wall lifting: a 15-year single institution experience. Asian J Endosc Surg, 2012, 5(2): 63-68.
19. 蔣培強, 張威, 王英超, 等. 懸吊式單孔腹腔鏡脾切除術 1 例報告. 腹腔鏡外科雜志, 2015, 20(6): 467.
20. 馬爾旦?馬合木提, 米爾夏提?阿不都熱西提, 吐爾洪江?吐遜, 等. 單孔與多孔腹腔鏡脾切除術比較的 Meta 分析. 中華腔鏡外科雜志(電子版), 2013, 6(6): 421-424.阮虎, 江志偉, 趙坤, 等. 達芬奇機器人系統在脾切除術中的應用.腹腔鏡外科雜志, 2013, 18(12): 899-901.
21. 劉新農, 張錦航, 盛蕾, 等. 單孔與傳統腹腔鏡脾切除術臨床效果的系統評價. 腹腔鏡外科雜志, 2013, 18(6): 401-406.
22. 邵學謙. 單孔腹腔鏡脾切除術與傳統腹腔鏡脾切除術的對照研究. 中國內鏡雜志, 2014, 20(8): 805-807.
23. Giulianotti PC, Buchs NC, Coratti A, et al. Robot-assisted treatment of splenic artery aneurysms. Ann Vasc Surg, 2011, 25(3): 377-383.
24. Berelavichus SV, Smirnov AV, Ionkin DA, et al. Robot-assisted and laparoscopic partial splenectomy for nonparasitic cysts. Khirurgiia (Mosk), 2015, (7): 41-48.
25. 阮虎, 江志偉, 趙坤, 等. 達芬奇機器人系統在脾切除術中的應用[J]. 腹腔鏡外科雜志, 2013, 18(12), 899-901.
26. Giulianotti PC, Buchs NC, Addeo P, et al. Robot-assisted partial and total splenectomy. Int J Med Robot, 2011, 7(4): 482-488.
27. Weledji EP.Benefits and risks of splenectomy. Int J Surg, 2014, 12(2): 113-119.
28. Rice HE, Crary SE, Langer JC, et al. Comparative effectiveness of different types of splenectomy for children with congenital hemolytic anemias. J Pediatr, 2012, 160(4): 684-689.e13.
29. Feldman LS. Laparoscopic splenectomy: standardized approach. World J Surg, 2011, 35(7): 1487-1495.
30. 俞澤元, 龍勃, 郭凌云, 等. 經前入路完全腹腔鏡脾切除術的臨床應用. 中國普外基礎與臨床雜志, 2016, 23(11): 1389-1392.
31. 成劍, 洪德飛, 沈國樑, 等. 優化腹腔鏡脾切除和賁門周圍血管離斷術的臨床研究. 中華普通外科雜志, 2014, 29(3): 165-167.
32. 展翰翔, 胡三元. 腹腔鏡脾切除術的要點與難點. 腹腔鏡外科雜志, 2016, 21(8): 567-569.
33. 鄭直, 段鑫, 王勇, 等. 腹腔鏡脾切除術的并發癥及其防治. 腹部外科, 2014, 27(3): 176-178.
34. 余伍勇, 劉作金. 肝硬化門脈高壓癥行 LS 和 OS 術后并發癥的 Meta 分析. 重慶醫學, 2015, 44(5): 670-672, 675.
35. 李謙, 周大艷, 劉彬. 全腹腔鏡脾切除術中出血原因的分析. 腹腔鏡外科雜志, 2015, 20(3): 208-211.
36. 胡仁健, 秦紅軍, 程剛, 等. 腹腔鏡下脾切除術的幾點探討. 肝膽胰外科雜志, 2015, 27(2): 143-145.
37. 向俊西, 劉學民, 劉鵬, 等. 腹腔鏡脾切除術門靜脈系統血栓形成和中轉開腹的危險因素分析. 腹部外科, 2015, 28(6): 389-393.
38. Montalvo J, Velazquez D, Pantoja JP, et al. Laparoscopic splenectomy for primary immune thrombocytopenia: clinical outcome and prognostic factors. J Laparoendosc Adv Surg Tech A, 2014, 24(7): 466-470.
39. 薛紅娣, 劉雙海, 陳勝, 等. 腹腔鏡和開腹脾切除術的臨床療效比較: 附視頻. 中華普通外科學文獻(電子版), 2016, 10(2): 125-128.
40. 陳亞希, 修典榮, 原春輝, 等. 腹腔鏡部分脾與全脾切除術治療脾良性占位性病變. 中華普通外科雜志, 2017, 32(2): 105-107.
41. Gamme G, Birch DW, Karmali S. Minimally invasive splenectomy: an update and review. Can J Surg, 2013, 56(4): 280-285.
42. 黃軍偉, 洪明, 閻雄. 腹腔鏡脾切除術的研究進展. 中國微創外科雜志, 2014, 14(2): 176-179.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Recent advances in laparoscopic splenectomy

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